Provider Demographics
NPI:1134924053
Name:PALMER, ALLISON SHAE (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:SHAE
Last Name:PALMER
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1189
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:TX
Mailing Address - Zip Code:79084-1189
Mailing Address - Country:US
Mailing Address - Phone:806-396-5583
Mailing Address - Fax:806-366-2713
Practice Address - Street 1:1220 PURNELL AVENUE
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:TX
Practice Address - Zip Code:79084-1189
Practice Address - Country:US
Practice Address - Phone:806-396-5583
Practice Address - Fax:806-366-2713
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP1190787363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily